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What Causes Excessive Sweating, Shaky Hands, Nausea And Dizziness?
Question: hi,
I am 43. and have a question I would like to ask. Over the last several years, I have had episodes where I sometimes sweat, get shaky hands, or feel like my body is trembling inside. I feel nausea at times, and feel dizziness and that all the energy has been sapped out of me and that I will faint or collapse.
I am overweight, and am pre diabetic I have a family history of diabetes on my mother's side . I was diagnosed with bipolar disorder and Obsessive compulsive disorder for which I am taking luvox, rispderal and epilim. I am also taking thyroxine after having had a total thyroidectomy.
Lately, I have had a few urinary tract infections, and having to deal with urinating more than usual. I have noticed that on some days, if I have not eaten, or eaten enough that I will end up feeling like this. I have been measuring my sugar levels but the lowest has been 4.2 (Australian measurement), I have been told that that is normal, but I don't feel right when I get like this. I have felt like this for the last three days. I have had too many of these episodes as I call them and just want to know what is causing them.
I am 43. and have a question I would like to ask. Over the last several years, I have had episodes where I sometimes sweat, get shaky hands, or feel like my body is trembling inside. I feel nausea at times, and feel dizziness and that all the energy has been sapped out of me and that I will faint or collapse.
I am overweight, and am pre diabetic I have a family history of diabetes on my mother's side . I was diagnosed with bipolar disorder and Obsessive compulsive disorder for which I am taking luvox, rispderal and epilim. I am also taking thyroxine after having had a total thyroidectomy.
Lately, I have had a few urinary tract infections, and having to deal with urinating more than usual. I have noticed that on some days, if I have not eaten, or eaten enough that I will end up feeling like this. I have been measuring my sugar levels but the lowest has been 4.2 (Australian measurement), I have been told that that is normal, but I don't feel right when I get like this. I have felt like this for the last three days. I have had too many of these episodes as I call them and just want to know what is causing them.
Brief Answer:
You need evaluation.
Detailed Answer:
Hi,
Thanks for your question.
After going through your question, I can understand your concern.
There are following possibilities for your symptoms-
1) Hypoglycemia (Low blood sugar level) : But it is unlikely as your blood sugar level during episode is 4.2mmol/l (75.6mg/dl).
2) Hyperthyroidism:
Due to overdose of Thyroxine. To rule out check your Free T4, TSH level.
3) Drug induced:
Tab Rispderal conatain Resperidone, Tab Luvox contain Fluvoxitine and Tab Epilim contain Valproate. All these medicines may have side effects that gives you your symtoms.
4) Anxiety:
As a part of your psychiatric disorder.
Following investigations may help in diagnosis-
- Complete Blood count.
- Blood sugar levels Fasting, Postprandial, HbA1c.
- Renal Function Test.
- Liver Function Test.
- Urine examination.
- Free T4, ultraTSH.
- ECG & 2DEcho.
Once the possibility of hyperthyroidism is ruled out, consult your psychiatrist for further evaluation.
Hope this helps you.
Regards,
Dr. Abhay Mali.
Diabetologist.
You need evaluation.
Detailed Answer:
Hi,
Thanks for your question.
After going through your question, I can understand your concern.
There are following possibilities for your symptoms-
1) Hypoglycemia (Low blood sugar level) : But it is unlikely as your blood sugar level during episode is 4.2mmol/l (75.6mg/dl).
2) Hyperthyroidism:
Due to overdose of Thyroxine. To rule out check your Free T4, TSH level.
3) Drug induced:
Tab Rispderal conatain Resperidone, Tab Luvox contain Fluvoxitine and Tab Epilim contain Valproate. All these medicines may have side effects that gives you your symtoms.
4) Anxiety:
As a part of your psychiatric disorder.
Following investigations may help in diagnosis-
- Complete Blood count.
- Blood sugar levels Fasting, Postprandial, HbA1c.
- Renal Function Test.
- Liver Function Test.
- Urine examination.
- Free T4, ultraTSH.
- ECG & 2DEcho.
Once the possibility of hyperthyroidism is ruled out, consult your psychiatrist for further evaluation.
Hope this helps you.
Regards,
Dr. Abhay Mali.
Diabetologist.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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